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本文报告139例弥漫性肺纤维化,内含34例特发性纤维化。全部病例中19例经肺组织学证实,其余根据临床及 X 线表现诊断。本文认为,虽然某些人主张诊断肺纤维化依靠临床及X 线胸片即可,但肺组织学诊断更为可靠。只是肺内病变稳定,存在一定时间,并为限制性病变,肺体积缩小,弥散功能下降情况下,肺活检才不一定需要。通过三位肺科医师对30份各期胸片读片结果的分析,对胸片的诊断价值进行了评价。最后,对弥漫性疾患的疾病分类和临诊时的思路进行了讨论。
This article reports 139 cases of diffuse pulmonary fibrosis, including 34 cases of idiopathic fibrosis. 19 cases of all cases confirmed by lung histology, the rest based on clinical and X-ray diagnosis. This article argues that although some people advocate the diagnosis of pulmonary fibrosis rely on clinical and X-ray can be, but the lung histological diagnosis is more reliable. Only pulmonary lesions stable, there is a certain period of time, and for restrictive lesions, reduced lung volume, diffuse decline in the case, the lung biopsy is not necessarily required. The diagnostic value of the chest radiograph was evaluated by analyzing the results of 30 chest radiographs by three pulmonary physicians. Finally, the classification and diagnosis of diffuse disease were discussed.